Marcus Blanekspoor
Individual provider Active NPI Physician Assistant · Orange City, IA
NPI 1477366391 · NPPES record last updated Jan 27, 2025
Key facts
- NPI
- 1477366391
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 120 Delaware Ave SW Apt 4
Orange City, IA 51041-1700 - Phone
- (712) 451-8971
- NPI assigned
- Jan 27, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
120 Delaware Ave SW Apt 4
Orange City, IA 51041-1700
Mailing address
120 Delaware Ave SW Apt 4
Orange City, IA 51041-1700
Phone (712) 451-8971
Other providers in Orange City, IA
- Joan Andres
- Kari Michelle Beadner
- Melody Deanne Becker Pullman
- Gregory D. Beernink
- Bethany Christian Services of Northwest Iowa
- Susan Blankers
- Gail Lynn Bolton
- Samantha Mae Bormann
- Christopher Steven Canu
- Mackenzie Elizabeth Carey
All providers in Orange City, IA · Physician Assistant in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.